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HomeMy WebLinkAboutDriveway Street Cut Permits 16 Ravine Ro Permit- No. 2316 Town of South Windsor, CT Date 07/09/1997 Street Excavation Permit Expiration Date 07/09/1998 Descrip: DRIVEWAY ADDITION Applicant Location Name BOUTIN & SONS OESfiiAVLN . ROAD Addr. 121 WINDSORVILLE ROAD, BROAD BROOK CT 0601 Sgrpe o Wcar �,PRIVEWAY Phone (860)623-2526 Appl icant agrees to 4urnish ,the "TNO'wn f Sautki Wirrdbor the amount of bond required and to reimburse the Town of Siiuth any expenses incurred by the Town f©n malrttenanc 'or r pa1r~ iC n connection with this permit and that app 1 i cant s fia1 I ar* and v�kfi 1 _ qi de by the rules and regulations for permits ,;;as ,qtl iKaad "a : tt �wr1„i South Windsor's Street Cut Permit Manual . * ERMIT T E' .KEPT CXN,,JC?� '.� TE IMF�S. / ' Issued b r�-�?.� =-F y T: s Date Completed Inspected By Permi\ , Nb.- 2316 Date 07/09/1997 Town of South Windsor, CT Street Excavatio n Permit mit Expiration Date 07/09/1998 Descrip: DRIVEWAY ADDITION Applicant Location Name BOUTIN & SONSiE�1F' RaVINROAD Addr. 121 WINDSORVILLE ROAp BROAD BROOK CT 06016 ,TYPe; cr3 DRIVEWAY Phone (860)623-2526 Applicant agrees to furr'i sh�' "the flown, of Qu 1 i ifsor the amount of bond required and to reimburse . e ,Town° of Guth Wj,n ieQr"ef•o°r any expenses incurred by the Town for n'tenane .ar��,> ^gpa connection with this permit and that applicant ,J.s" .f ami '� With", and 1 1' =abide by the rules and regulations for permits as eft, in d Town 'c>f Out Permit Manual . °•S'oUth Windsor ' s Street ?* * it PERMIT T;O" 8E K EPT ON J S AT A't-L--T I M E.S Issued by �. 'T"i t le, Date Comp 1�t�d � � � . Inspected By APPLICATION FOR STREET EXCAVATION PERMIT PUBLIC WORKS DEPARTMENT TOWN HALLS 1540 SULLIVAN AVENUE . SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. -" Address of Firm c1i S Y' Location of proposed work Describe fully nature of permit requested_—I:Zx� 2% AA Q n "ro --r4 Y, e �� v Starting date Approx.time for completion Call before you dig no. "� ci)(A— Traffic Services Control No. Show sketch of proposed work or furnish To be filled Out by Town of So W1ndsOIC two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by (l Cash O Check# �eqt)� Cut size after Perm. Patch i No.Cuts QX Final Billing S Amt.Due Payee$ $ Applicant is responsible for contacting Amt.Due Town the Police Dept.and C.S.Y.D. by date a I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. i�Wa/�"',' Signed: Date: Title:- � D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES